HomeMy WebLinkAboutApplicationGarficld County
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Communlty Dcvelopmant DepertmcntRËCEIVËD rOgeùStrcar,Sutrc40l
Glenwood SPrlngs, CO 81501
lgtol 945-8212
GARFIE ¡D C O U NTy www.s,arfield-countv.com
COMMUNITY OEVELOPMENT
Damolition
CMH Homes lnc Phone: t 970 I 245-9039
PropertyOwncr:
MallingMdrcss:67123 Road Grand Junction, CO 81505
Emall Addtc¡s:com /
ContÞctor:Clayton Homes Phone;P7O I 24s-9039
MalllngMdress:671 23 Road G Junction. CO 81505
Enrall Addr¡¡s: staci.douglas@claytonhomes-com /
Afchltecü Phone:
MallhUAddrest: ,,
Emall Addr:o¡:
Englneer:CIVCO Engineering phone,(435 I 7gg-5449
M¡lllnSAddrers:PO Box 1758 Vernal, UT 84078
EmellAddrcoe:vanceki n g@civcoen g ineering. com
Mrnuf¡ctured Homc lnslellcr:Pat Murpy phonc,tgTo I 250-2395
MalllngAddresr:3035 F ll?Road Clifton, CO 81504
Emall Addross:
PRO'ECTDETAI]S
DeSCflbg WOfk. Placomênt of IRC Codô Modular Homs Singlô Famlly Rssid€nce w¡th on sits constructlon of attachsd garage
Job Addre¡s:5538 County Rd 309 Parâchuts, co
Assessol's Parcel Numbcr;2't73 æ40 0029
Sub. tot Bbck_
Owne/s Valuetlon of Wor*:170,5000 Property Slzs (Sg. Ft. orAcresl¡0.86
Sq. Ft. of Bulldlng:* 21q
-
Heltht¡L f of
Clasç of Work:New Alteratlon Repalr
t
BUILDING PERMIT
APPLICATION
Manufactured Home or
RerooforResldentlal
Garagc:Attached 1152sqn
Addltlon
Detached
Move/Relocatlon
x
x [_l Electric l_lotherfl lropaneTYpe oú Heat:
'aJ /rfztaDdwry¡yPçrmlt:
or rn authorhed agent. lf the slgnature below is not that of the Owner, a separate letter of authorlty, signed by
the Owner, must be provlded wlth thls Appllcation.
Leral Acce¡s. A Buildlng Permft cennot be issued without proof of legal ând adequate ãccess to the property for
purposes of Inspectlons by the Building Dlvision.
Othcr Pennlts. Multlple separate permlts may be requlred: (1) State Eleclrlcal Permit (2) County OWTS Permit,
(31 anæher permit required for use on the property ¡dent¡f¡ed above, e.g. State or County Highway/ Road Access
or a State Wastewater Disdtarge Permit.
Vold Permlt. A Buildlng Permlt becomes null ¡nd yold lf the work authorlzed ls not commenced wlthln 1E0 days
of the date of lssuance and lf work is suspended or abandoned for a perlod of 180 days after commencement,
Permlt *:erTnt
lTvræi5
Auttrorlw. Thls appllcatlon for a Building Permlt must be slgned bythe Owner ofthe property, described above,
Natural Gas
ExÉmpt
that I have read thls Appllcatlon end thatthe lnformation contained
understand that the Buildlng Dlvlslon accepts the Appl¡catlon, along wlth the plans and speclflcatlons and other
data submitted by me or on my behalf (submtttals), based upon my cêrtiflcaüon as to accuracy. Assumlnt
completeness of the submfttals and approval of thls Appllcâtlon, s Bulldlng Parmft wlll be lssued $entlng
permlsslon to me, as Owner, to construct the structure(s) and facllltles detalled on the submlttals revlewed by
the Build¡ng Dlvlsion. ln conslderatlon of the lssuance of the Building Permlt, I agree that I and my agents wlll
comply wlth provisions of any federal, state or local law r.egulatlng the work and the Garfield County Building
Code, OWTS regulations and appllcable land use regulatlons (County Regulation(s)), I acknowledge that the
Building Permlt may be susprnded or revoked, upon notise from the f¡unty, f the locatlon, constructlon or use
of the structure(sl and facili¡y{iest, described above, are not ln compllance wlth County Regulatlon{s} or any
other appllcable law.
I hereby grant permlsslon to the Bulldlng Division to enter the property, described abovê, to inspect the work. I
further acknowledge that the issuance of the Bu¡ldlng Permtt does not prevent the Bullding Offlclal from: (1)
requirlng the correct¡on of errorc in the submittals, lf any, dlscovered after issuance; or (21 stopping
construct¡on or use of the structure{s} or faclllty(lesl if such ls ln violatlon of County Reguhtlon{s) or any other
appllcable law. Bevlew of this Appllcatlon, lncludlng submlttals, and lnspectlons of the work by the Bulldlng
Division do not constltute an acceptance of responslblllty or llablllty by the Ctunty of errors, omlsslons o¡
dlscrepancles. As the Owner, I acknowledge that responslblllty for compllance wlth federal, state and local laws
and County Regulatlons rest wlth me and my authorlzed agents, lncludlng without llmltatlon my architect
ls true and corest. Icertlfy
or builder
PROJECÍ DEÌ.AIIS COilN'{UEÞ
teptlc:owïs Community
hereby I have read and understend and Certlflcdon åbove, a¡ well as, have
prordded the requlred lnform¡tlon whldr ls correcl erd eccuratê to thê bÊst 6f ny knowledge.
4."3'7-l
Prcperry Owner Prlnt and Si¡n Dãte
oosOFfIOAT USE ONLY
Spedal
Manu home Fee;íunß. oo Wtrii¡tÍt^s:Plçn Çhpclq Fqc¡, /
¿û ¿lH -5.î 6.Adlusted Valuatlon¡i v.l¿l¿l^o0
fåär- *totþ')ü\,'s'l Olñll'15 No:ffildla0ôFee¡ Pald:
4<lo0äiifål:s'l tonHffif,,ovoccuffit-Sefrbacks:OL
A4ot-.-BUIIDING / PtAl{illilG DIVISION ¡
Sl¡ned Approval
1-/5-ztz,
Deto
BÚILDING DEPARTMENT
7O8 Eighth Street, Suite 407, Gtenwood Sprtngs, CO 81607
Tel: (970) 945'8272
P NR VLA E c EC KLIST
PermltNo: øt Æ'æ -21-70?/^Z L
Flanning /Zoning lssuesBuilding lsst¡es
u-
tl
Engi neered Foundation Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees fæ
Grade/ TopograPhY 40%
Planning lssues
f
?-/6-;2¿2/ b
Pêrmit Zø7*"rþn*s
Site Plan /
ê.^?/?*
DrivewaY
SurveYed
Septic Permit and Setback s I þg/'oo'n
tlodr þl4n
Grade/ ToPograPhY 30% t
Attach Residential Plan Review List
Subdivision Plat Notes
Fire DePartment Review
Valuation Determination/ Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/schedule No'
40# Snowload Letter - Manu' Homes
Soils RePort
2æF*, ctvu 6./4,Zoz/
ivision Plat
Descri ptio n & Summarv:
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and/or plans for compliance, the application may be placed on hold until the required informatlon is
provided. Work may not proceed without the issuanoe of a permit.
The Bui66g Division wlll collect a Plan Review fee at time of application submlttal. The permit fee, as
uæltas any Road lmpac'tfees wlllbe collected when the p€fmlt ie issued.
The permlt application must be slgned by the owner or by person having written authorlty from the owner
to act as their representat¡ve.
Bu1ding cannot be occupied until a Gertificate of Occupancy (CO) ls lssued. U_sing üte buildlng without a
CO wifbe considered an illegal occupancy and may be grounds for vacating the premlses. (Final/CO
inspec'tion rcquirements will be attacf¡ed to your approved field set of plans.)
I hercby acknowledge I have read, underrtand and wlll ¡bide by the rcqulrementr of thls
checkllst.
%.23-7-)
Property Owner Print Date